2013年苏州市中小学生淋巴结和结膜炎健康检查结果

Physical examination results of lymph nodes and conjunctivitis among primary and secondary school students in Suzhou City in 2013

目的了解苏州市中小学生淋巴结、结膜炎的阳性检出状况及分布规律,为卫生、教育等相关部门进行干预和做好学生健康工作提供科学依据。方法按照《苏州市中小学生免费体检实施办法》要求,组织专业医务人员培训后对全市中小学生（小学1-6年级、初中1-2年级、高中1-2年级）进行健康检查,检查结果录入数据库并进行资料整理,采用描述流行病学方法进行资料分析,采用SPSS 17.0软件进行统计学分析。结果 1性别、年龄信息完整的淋巴结受检的学生有515 528名,阳性检出率为0.998%。按性别分组,男女生的阳性检出率分别为1.020%、0.972%,男女生间阳性检出率差异无统计学意义。按年龄分组,其中阳性检出率最高的是5-8岁组,为1.563%。2性别、年龄信息完整的结膜炎受检的学生有584 193名,阳性检出率为1.487%。按性别分组,男女生的阳性检出率分别为1.534%、1.432%,男女生间阳性检出率差异有统计学意义。按年龄分组,其中阳性检出率最高的是5-8岁组,为1.760%。结论对检出浅表淋巴结肿大和结膜炎阳性体征的学生应引起足够重视,及时告知家长并前往医院进行详细检查和治疗,对该市中小学生,尤其是5-8岁学生应加强健康教育,引导学生养成良好的卫生习惯。另外,必须加强学生健康监测队伍和校医队伍的建设,保障学生健康监测工作的质量,预防各种学生常见病的发生。

[Objective]To understand the detection rates of lymph nodes and conjunctivitis among primary and secondary school students in Suzhou City,analyze its distribution law,and provide a scientific basis for the health and education departments to carry out the intervention measures and implement the health care of students.[Methods]According to the demands of the Suzhou implementation measures of free physical examination for primary and secondary school students,the physical examination was conducted among students in primary and secondary schools of Suzhou City（grade 1-6 in primary school,grade 1-2 in junior high school,and grade 1-2 in senior high school） by the trained medical personnel. The examination results have been recorded into the database,and were analyzed by the descriptive epidemiological method. SPSS 17.0 software was applied in the statistical analysis. [Results] ① Among 515 528 subjects with whole gender and age information,the positive rate of lymph nodes was0.998%. There positive rate in boys and girls was 1.020% and 0.972% respectively,and the difference was not statistically significant. Among the age groups,the positive rate in 5-8 year-old age group was the highest（1.563%）. ② Among 515 528 subjects with whole gender and age information,the positive rate of conjunctivitis was 1.487%. There positive rate in boys and girls was 1.534% and 1.432% respectively,and the difference was statistically significant. Among the age groups,the positive rate in 5-8 year-old age group was the highest（1.760%）. [Conclusion]It is important to pay more attention to students with superficial lymph nodes and positive signs of conjunctivitis. School should notify the parents rapidly,so as to bring the students to take a detailed examination and treatment. It is essential to strengthen the health education among primary and secondary school students in Suzhou City,especially children aged 5-8 years old,to guide students to develop good health habits. Moreover,it is necessary essential to strengthen the team construction of health monitoring and school doctors,to ensure the quality of health monitoring,and prevent the common disease among the students.